1. Nebraska’s Prescription Drug Monitoring Program What Do I Really Need to Know? Amy Reynoldson, DHHS Kevin C. Borcher, PharmD,NeHII, Inc.

2.  Federal Funding Awarded to DHHS ◦ CDC Prescription Drug Overdose Prevention for States (PDO PfS) Grant  $771,249 per year – 4 year grant ◦ Department of Justice – Harold Rogers Grant  $250,000 per year – 2 year grant

3.  Enhance and maximize the PDMP  Establish statewide pain management guidelines  Create awareness about expanded access to Naloxone

4.  Collaboration with Stakeholders ◦ PDMP Work group  Collaboration within DHHS Divisions ◦ Division of Behavioral Health ◦ Division of Medication Long Term Care ◦ Division of Public Health  Collaboration with Contractors ◦ PDMP Contractor – NeHII ◦ External Evaluator ◦ Information System and Technology Contractor

5.  Signed by Governor Ricketts and enacted on 2/25/2016 (emergency clause)  Purpose of PDMP Legislation ◦ Prevent the misuse of controlled substances ◦ Allow prescribers and dispensers to monitor the care and treatment of patients to ensure prescription drugs are used for medical appropriate purposes ◦ State of Nebraska remains on the cutting edge of medical information technology  January 1, 2017 - Controlled substances dispensed  January 1, 2018 - All dispensed prescriptions

6.  No patient opt out  Allow prescribers, dispensers, dispenser designees to access the PDMP at no cost  Establishes Veterinary Prescription Monitoring Program Task Force

7.  February 25, 2016 – LB471 became law  June – August, 2016 – Pharmacies contacted  August – December, 2016 – Work with dispensers, pharmacies to test and submit data  October, 2016 – Training for dispensers  December, 2016- Training for prescribers  January 1, 2017 – PDMP Reporting Requirements Effective ◦ Mandatory reporting of controlled substances  January 1, 2018 – Full medication history ◦ Mandatory reporting of ALL prescriptions dispensed

8.  Who has to report? ◦ Pharmacies which dispense controlled substances ◦ Physicians with a Dispensing Practitioner Pharmacy License  Is anyone exempted from the law? ◦ There are 4 exemptions in the law for 2017 ◦ ** ALL prescriptions to be submitted by January 1,2018  How do I get my data to the PDMP? ◦ Contact pharmacy system vendor ◦ Refer them to Nebraska PDMP Dispenser’s Implementation Guide  How often do I need to submit my data? ◦ Daily (within one calendar day of the prescription being dispensed)  How do I submit my dispensing data if I don’t have a pharmacy computer system ◦ Web portal  How do I use the PDMP to perform a search for my patient?

14.  Is it mandatory to look at patient’s PDMP report? ◦ No, but it is encouraged ◦ Patient safety benefits  How do I get signed up? ◦ Register through NeHII ◦ Education/Training ◦ Receive user ID/password ◦ Log in  How do I get more information on the PDMP?

15.  PDMP website ◦ Coming September 2016 ◦ Dispenser’s Implementation Guide ◦ PDMP Information ◦ User FAQ ◦ Forms  Registration Request  Exemption Information Form  Nebraska DHHS  NeHII

16.  Kevin Borcher – PDMP Program Director, NeHII ◦ 402-290-2635kborcher@nehii.orgkborcher@nehii.org  Rachel Houseman – Project Manager, NeHII ◦ 608-628-6257rhouseman@nehii.orgrhouseman@nehii.org  Deb Bass – CEO, NeHII ◦ 402-981-7664dbass@nehii.orgdbass@nehii.org  NeHII Support ◦ 1-866-978-1799support@nehii.orgsupport@nehii.org  Amy Reynoldson, Prescription Drug Overdose Prevention Coordinator, DHHS ◦ 402-471-0835Amy.Reynoldson@Nebraska.govAmy.Reynoldson@Nebraska.gov Like us on Facebook https://www.facebook.com/NeHIIorg/https://www.facebook.com/NeHIIorg/ Follow NeHII on Twitter: @NeHIIorg